Practice Nurse

Job summary Woodside Medical Practice is a Medical Practice that prides itself on offering tailored care to a diverse patient list of 6500.
We offer 10 minute appointments, flexible working, Clinical and Pastoral support and mentorship, great learning opportunities, sociable and supportive environment and the use of a private car park.
The practice prides itself on its commitment to high quality care to its patients and support from our excellent clinical and administration teams.
Main duties of the job Provision of General Medical Services, Enhanced Services and work with the Primary Care Network, in accordance with the GMS and other practice contracts.
Continuing professional development opportunities, and regular practice meetings.
About us The practice currently has 2 GP Partners and 3 Salaried GPs.
We have an ACP, a lead Nurse, and 1 Health Care Assistant in post supported by 1 nursing associate, a team of social prescribers, a pharmacy technician and a first contact MSK Specialist.The practice is also supported by an experienced admin team, with an admin leader in post.We are a well established team with a real family feel and would welcome prospective applicants in for an informal chat and tour of the Practice.
Job description Job responsibilities The post holder is an experienced nurse who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care.
They will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice.
The post holder will demonstrate critical thinking in the clinical decision-making process.
They will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required.
In order to work at this level NMC requirements for advanced practice must be met.Key responsibilitiesClinical practiceAssess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosisClinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordinglyAssess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs.
Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate)Diagnose and manage both acute and chronic conditions, integrating both drug and non-drug-based treatment methods into a management planPrescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practiceWork with patients in order to support compliance with and adherence to prescribed treatments.
Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactionsPrioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency careSupport patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-careCommunicationUtilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatmentCommunicate with and support patients who are receiving bad newsCommunicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicatingAnticipate barriers to communication and take action to improve communicationMaintain effective communication within the practice environment and with external stakeholdersAct as an advocate for patients and colleaguesEnsure awareness of sources of support and guidance (eg PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriateDelivering a quality serviceRecognise and work within own competence and professional code of conduct as regulated by the NMC.
Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and proceduresPrioritise, organise and manage own workload in a manner that maintains and promotes qualityDeliver care according to NICE guidelines and evidence-based careAssess effectiveness of care delivery through self and peer review, benchmarking and formal evaluationInitiate and participate in the maintenance of quality governance systems and processes across the organisation and its activitiesUtilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where requiredIn partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriateEvaluate patients response to health care provision and the effectiveness of careSupport and participate in shared learning across the practice and wider organisationUse a structured framework (eg root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss eventsAssess the impact of policy implementation on care deliveryUnderstand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidanceProfessional RolePromote evidence based practice through the use of the latest research based guidelines and the development of Practice based research.Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review.Maintain their professional registration.Participate in continuing professional development opportunities to ensure that up to date evidence-based knowledge and competence in all aspects of the role is maintained.Work within the latest NMC Code of Professional Conduct.Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards.Keep up to date with pertinent health related policy and work with the Practice Team to consider the impact and strategies for implementation.Work collaboratively with colleagues within and external to the Practice.Pro-actively promote the role of the NP within the Practice, and externally to key stakeholders and agencies.Leadership personal and people developmentTake responsibility for own learning and performance including participating in clinical supervision and acting as a positive role modeUtilising personal development reviews for self and nurses in order to improve performanceSupport staff development in order to maximise potentialCritically evaluate and review innovations and developments that are relevant to the area of workEnlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of servicesTake a lead role in planning and implementing changes within the area of care and responsibilityContribute to the development of local guidelines, protocols and standardsMarket the role of the advanced nurse practitioner in general practiceTeam workingUnderstand own role and scope and identify how this may develop over timeWork as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of workingDelegate clearly and appropriately, adopting the principles of safe practice and assessment of competenceCreate clear referral mechanisms to meet patient needPrioritise own workload and ensure effective time-management strategies are embedded within the culture of the teamWork effectively with others to clearly define values, direction and policies impacting upon care deliveryDiscuss, highlight and work with the team to create opportunities to improve patient careManage and lead on the delivery of specifically identified services or projects as agreed with the practice management teamAgree plans and outcomes by which to measure successManagement of riskManage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patientsMonitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelinesApply infection-control measures within the practice according to local and national guidelinesAdvocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for allInterpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practiceManaging informationUse technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating informationReview and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processesManage information searches using the internet and local library databasesUnderstand responsibility of self and others to the practice and primary care trust regarding the Freedom and Information ActLearning and developmentUndertake mentorship for more junior staff, assessing competence against set standardsDisseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (eg courses and conferences)Assess own learning needs and undertake learning as appropriateProvide an educational role to patients, carers, families and colleagues in an environment that facilitates learningEquality and diversityIdentify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunityEnable others to promote equality and diversity in a non-discriminatory cultureSupport people who need assistance in exercising their rightsMonitor and evaluate adherence to local chaperoning policiesAct as a role model in the observance of equality and diversity good practiceAccept the rights of individuals to choose their care providers, participate in care and refuse careAssist patients from marginalised groups to access quality careUndertake any training required in order to meet the needs of the practice Person Specification Qualifications Essential Nursing degree or equivalent experience Registered Nurse (NMC) Evidence of immunisation training and assessment of competence in last 2 years 6 months relevant experience working in a primary care environment in the last 2 years Immunisations (flu, routine, childhood, B12, travel) Wound Care / Treatment of small injuries / Removal of sutures & staples Womens health (Cervical cytology, contraception, etc.)
Dressings Diabetes review Hypertension Cardiovascular disease primary prevention Coronary Heart Disease Ability to record accurate clinical notes Ability to work within own scope of practice and understanding when to refer to GPs Understanding of Extended brief interventions (NICE guidelines) Desirable Cytology certificates Travel medicine Mental Health ECGs Venepuncture New patient medicals Chaperone procedure Requesting pathology tests and processing the results, advising patients accordingly Asthma Spirometry Understands the importance of evidence-based practice Broad knowledge of clinical governance Knowledge of public health issues in the local area Awareness of issues within the wider health arena Knowledge of health promotion strategies Understands the requirement for PGDs and associated policy Experience Essential Experience of working within a nursing team Desirable Experience of working in a GP practice Experience of working in primary care